Efetividade das técnicas de recuperação após a corrida: revisão sistemática

Abstract

Insufficient recovery from running-induced muscle damage impairs performance and affects training attendance. The aim of this systematic review (CRD42021253538) was to evaluate the effectiveness of recovery strategies after running on clinical signs and blood biomarkers. Searches were carried out in PUBMED, EMBASE, SportDISCUS, CINAHL, Web of Science, CENTRAL, PEDro, LILACS and SCIelo databases until October 2022. Randomized clinical trials were included that evaluated the effectiveness of massage, cryotherapy, electrotherapy, phototherapy, cupping therapy, therapy by vibration, compression garments, pneumatic compression, instrumental myofascial release, and post-run stretching. Primary outcomes were pain, fatigue, isometric contraction, jumping, torque and secondary biomarkers lactate dehydrogenase, creatine kinase and C-reactive protein. The results were analyzed immediately, 24, 48h, 72h and 96h after the intervention. Two researchers selected the studies, extracted the data, independently assessed the risk of bias (Risk of Bias II) and the certainty of the evidence (GRADE). Disagreements were resolved by a third researcher. The meta-analysis was performed when at least two studies were comparable and reported as standardized mean difference and 95% confidence interval. The Sidik-Jonkman random effect model was used. Analyzes were processed using StataMP 16. A total of 20,314 studies were found, 25 of which 13 were pooled for meta-analysis. The main results of this review indicate that cryotherapy had a great effect in reducing pain 24h and 48h after using the technique. The quality of the evidence is very low, the data are incipient, and future studies are likely to have an impact on the effect estimate.